Provider Demographics
NPI:1669401923
Name:BROWN, STEVEN D (LCSW, CPSYA)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:LCSW, CPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RECTORY LANE
Mailing Address - Street 2:#86
Mailing Address - City:STUYVESANT
Mailing Address - State:NY
Mailing Address - Zip Code:12173-0086
Mailing Address - Country:US
Mailing Address - Phone:518-758-2864
Mailing Address - Fax:212-674-7550
Practice Address - Street 1:24 5TH AVE
Practice Address - Street 2:SUITE # 427
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8858
Practice Address - Country:US
Practice Address - Phone:212-995-5557
Practice Address - Fax:212-674-7550
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR034500-11041C0700X
NY000330-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02013954Medicaid
NY02013954Medicaid